Cytomegalovirus (CMV) Encephalitis in HIV Patients

It is hypothesized that impaired CD4 cell functioning is attributable to viral replication. Most cases of CMV encephalitis occur when CD4 counts fall below 50, however patients may be predisposed to CMV infection prior to depletion of CD4 [1]. Previous opportunistic infections (OIs), a high level of CMV viremia, and high plasma HIV RNA levels (>100,000 copies/mL) are other reported risk factors [2].

[1]  S. Chou Approach to drug-resistant cytomegalovirus in transplant recipients , 2015, Current opinion in infectious diseases.

[2]  H. Hoogsteden,et al.  Leflunomide as part of the treatment for multidrug‐resistant cytomegalovirus disease after lung transplantation: case report and review of the literature , 2013, Transplant infectious disease : an official journal of the Transplantation Society.

[3]  W. Rawlinson,et al.  Clinical aspects of cytomegalovirus antiviral resistance in solid organ transplant recipients. , 2013, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[4]  Bryan R. Smith,et al.  HIV-associated opportunistic infections of the CNS , 2012, The Lancet Neurology.

[5]  S. Chou,et al.  The biology of cytomegalovirus drug resistance , 2011, Current opinion in infectious diseases.

[6]  C. Pannuti,et al.  Neurologic cytomegalovirus complications in patients with AIDS: retrospective review of 13 cases and review of the literature. , 2010, Revista do Instituto de Medicina Tropical de Sao Paulo.

[7]  S. Chou,et al.  Oral maribavir for treatment of refractory or resistant cytomegalovirus infections in transplant recipients , 2010, Transplant infectious disease : an official journal of the Transplantation Society.

[8]  S. Chou,et al.  Antiviral Drug Resistance of Human Cytomegalovirus , 2010, Clinical Microbiology Reviews.

[9]  W. Drew Cytomegalovirus resistance testing: pitfalls and problems for the clinician. , 2010, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[10]  E. Benedetti,et al.  Use of high‐dose ganciclovir for a resistant cytomegalovirus infection due to UL97 mutation , 2008, Transplant infectious disease : an official journal of the Transplantation Society.

[11]  G. Holland AIDS and ophthalmology: the first quarter century. , 2008, American journal of ophthalmology.

[12]  D. Jabs,et al.  Change over time in incidence of ganciclovir resistance in patients with cytomegalovirus retinitis. , 2007, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[13]  K. Biron Antiviral drugs for cytomegalovirus diseases. , 2006, Antiviral research.

[14]  J. Castilla,et al.  Incidence of acquired immunodeficiency syndrome-associated opportunistic diseases and the effect of treatment on a cohort of 1115 patients infected with human immunodeficiency virus, 1989-1997. , 2003, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[15]  W. Schlote,et al.  HIV‐Related Neuropathology, 1985 to 1999: Rising Prevalence of HIV Encephalopathy in the Era of Highly Active Antiretroviral Therapy , 2002, Journal of acquired immune deficiency syndromes.

[16]  A. Chaudhuri,et al.  Diagnosis and treatment of viral encephalitis , 2002, Postgraduate medical journal.

[17]  O. Kirk,et al.  Safe Interruption of Maintenance Therapy against Previous Infection with Four Common HIV-Associated Opportunistic Pathogens during Potent Antiretroviral Therapy , 2002, Annals of Internal Medicine.

[18]  E. Mylonakis,et al.  Combination antiviral therapy for ganciclovir-resistant cytomegalovirus infection in solid-organ transplant recipients. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[19]  C. Christodoulou,et al.  Cytomegalovirus-associated transverse myelitis in a non-immunocompromised patient , 2002, Spinal Cord.

[20]  C. Katlama,et al.  Induction and maintenance therapy of cytomegalovirus central nervous system infection in HIV-infected patients , 2000, AIDS.

[21]  F. Scaravilli,et al.  Comparison of magnetic resonance imaging with neuropathological findings in the diagnosis of HIV and CMV associated CNS disease in AIDS. , 1997, Journal of neurology, neurosurgery, and psychiatry.

[22]  B. Sha Combination Foscarnet and Ganciclovir Therapy vs. Monotherapy for the Treatment of Relapsed Cytomegalovirus Retinitis in Patients with AIDS: The Cytomegalovirus Retreatment Trial , 1996, Archives of ophthalmology.

[23]  A. Renshaw,et al.  Predominance of neutrophils in the cerebrospinal fluid of AIDS patients with cytomegalovirus radiculopathy. , 1996, American journal of clinical pathology.

[24]  S. Baig,et al.  Cytomegalovirus-associated transverse myelitis in a non-immunocompromised patient , 1995, Journal of the Neurological Sciences.

[25]  W. Freeman,et al.  Immune predispositions for cytomegalovirus retinitis in AIDS. The HNRC Group. , 1995, The Journal of clinical investigation.

[26]  F. Baldanti,et al.  Diagnosis of human cytomegalovirus infection of the nervous system by pp65 detection in polymorphonuclear leukocytes of cerebrospinal fluid from AIDS patients. , 1994, The Journal of infectious diseases.

[27]  R. Murphy,et al.  Combined daily therapy with intravenous ganciclovir and foscarnet for patients with recurrent cytomegalovirus retinitis. , 1994, American journal of ophthalmology.

[28]  S. Berman,et al.  The development of cytomegalovirus encephalitis in AIDS patients receiving ganciclovir. , 1994, The American journal of medicine.

[29]  V. Mathews,et al.  Cytomegalovirus encephalitis in acquired immunodeficiency syndrome (AIDS) , 1994, Neurology.

[30]  J. Glass,et al.  Neurologic prognosis of cytomegalovirus polyradiculomyelopathy in AIDS , 1993, Neurology.

[31]  R. Chaisson,et al.  Incidence and natural history of cytomegalovirus disease in patients with advanced human immunodeficiency virus disease treated with zidovudine. The Zidovudine Epidemiology Study Group. , 1992, The Journal of infectious diseases.

[32]  J. Shelhamer,et al.  The Causes of Death in Patients with Human Immunodeficiency Virus Infection: A Clinical and Pathologic Study with Emphasis on the Role of Pulmonary Diseases , 1991, Medicine.

[33]  P. Portegies,et al.  Neurological complications of infection with human immunodeficiency virus type 1 A review of literature and 241 cases , 1989, Clinical Neurology and Neurosurgery.

[34]  F. Scaravilli,et al.  Combined HIV-CMV encephalitis presenting with brainstem signs. , 1989, Journal of neurology, neurosurgery, and psychiatry.

[35]  J. McCutchan,et al.  Cytomegalovirus polyradiculoneuropathy in acquired immune deficiency syndrome , 1987, Neurology.

[36]  D. Hawley,et al.  Cytomegalovirus encephalitis in acquired immunodeficiency syndrome. , 1983, American journal of clinical pathology.

[37]  J. B. Hanshaw Cytomegalovirus: Biology and Infection , 1983 .

[38]  A. Thiébaut,et al.  Success and failure of artesunate treatment in five transplant recipients with disease caused by drug-resistant cytomegalovirus. , 2014, Antiviral research.

[39]  R. Schrier,et al.  Immune Predispositions for Cytomegalovirus Retinitis in AIDS , 2013 .

[40]  A. Caliendo,et al.  Updated international consensus guidelines on the management of cytomegalovirus in solid-organ transplantation. , 2013, Transplantation.

[41]  K. Jellinger,et al.  Cytomegalovirus infection of the brain in AIDS: a clinicopathological study , 2004, Acta Neuropathologica.

[42]  G. Gerna,et al.  Diagnosis and Clinical Management of Neurological Disorders Caused by Cytomegalovirus in Aids Patients for the European Union Concerted Action on Virus Meningitis and Encephalitis* , 1997 .

[43]  G. Gerna,et al.  Diagnosis and clinical management of neurological disorders caused by cytomegalovirus in AIDS patients. European Union Concerted Action on Virus Meningitis and Encephalitis. , 1998, Journal of neurovirology.

[44]  A. Collier,et al.  Combination therapy with zidovudine, didanosine and saquinavir. , 1996, Antiviral research.

[45]  D. Clifford,et al.  Magnetic resonance brain imaging lacks sensitivity for AIDS associated cytomegalovirus encephalitis. , 1996, Journal of neurovirology.